格林模式 健康评估 简介及应用 .pptVIP

应用实例（二） Application of the PRECEDE-PROCEED Planning Model in Designing an Oral Health Strategy Catherine J. Binkley and Knowlton W. Johnson J Theory Pract Dent Public Health Background Although the poor oral health of adults with intellectual and developmental disabilities (IDD) constitutes a significant health disparity in the United States. Few interventions to date have produced lasting results. Moreover, there is minimal application of planning models to inform and design a theory-based strategy that has the potential to be effective and sustainable in this population. Methods The PRECEDE-PROCEED planning model is being used to design and evaluate an oral health strategy for adults with IDD. The PRECEDE component involves assessing social, epidemiological, behavioral, environmental, educational, and ecological factors that informed the development of an intervention with underlying social cognitive theory assumptions. The PROCEED component consists of pilot-testing and evaluating the implementation of the strategy, its impact on mediators and outcomes of the population under study. PRECEDE Planning Model Component Phase 1 Social Assessment The PRECEDE portion of the Model begins with diagnostic activities that identify desirable outcomes or goals of the intervention or ask, “What can be achieved?” These activities determined the primary or distal outcomes of the oral health strategy for the individual with disabilities. Phase 2 - Epidemiological, Behavioral, and Environmental Assessment We searched the literature and asked questions of the selected community leaders and healthcare staff noted above about what problems or issues affect the oral health-related quality of life for persons with IDD? - OR - What needs to change to achieve optimal oral health for these individuals? This phase determined epidemiological, behavioral, and environmental factors that may well have an impact on the oral health and quality of life of individuals with IDD. This p